Individual
MR. JOSEPH L MIKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 LINDEN DRIVE, SUITE 106, WINCHESTER, VA 22601
(540) 722-7282
(540) 722-5060
Mailing address
142 LINDEN DRIVE, SUITE 106, WINCHESTER, VA 22601
(540) 722-7282
(540) 722-5060
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101052335
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010148979
—
VA
Enumeration date
03/29/2006
Last updated
02/17/2011
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